Individual provider Active NPI

Susan Edinger

  • Social Worker
  • Sharon, MA
National Provider Identifier
1922516434
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106284 Issued in MA
Practice address
219 Massapoag Ave
Sharon, MA 02067-2714
Phone
(781) 784-8000
NPI assigned
Jan 18, 2018
Last updated
Jan 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106284 MA Primary

Addresses

Primary practice location

219 Massapoag Ave
Sharon, MA 02067-2714

Mailing address

31 Deerfield Rd
Sharon, MA 02067-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626000946 MA Practitioner - Clinical Social Worker 6406180348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renz Counseling, LLCGroup PAC ID 0042533259, 11 clinicians

Practice addresses (Care Compare)

378 Page St
Suite 6
Stoughton, MA 02072-1124
Phone (339) 364-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Walpole Behavioral Healthcare, LLC CurrentSince Jun 10, 2019 Accepting new patients
Renz Counseling, LLC CurrentSince Oct 10, 2024 Accepting new patients

Locations

1032 Turnpike St
Ste 204
Canton, MA 02021
Phone (339) 364-8080

378 Page St
Ste 6
Stoughton, MA 02072
Phone (339) 364-8080

841 Main St
Walpole, MA 02081
Phone (508) 660-2900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1922516434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 DEERFIELD RD",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MASSAPOAG AVE",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672714",
            "telephone_number": "781-784-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGER",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "106284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

Verify at the official NPI Registry.